Chamber and committees

As has been established practice for many years, the staff and vehicle required to move critically ill patients is determined based on circumstances and clinical need. Our specialist neonatal transfer service (ScotSTAR) will transfer those babies by air or road in specialist ambulances equipped to care for neonates.

ScotSTAR will be introducing a Standard Operating Procedure (SOP) which will have variations between emergency and scheduled/planned transfers. NHS Grampian will be on the outer limits for drivers but expectation would be that the journey will be done without a break.

The Scottish Government does not hold this information.

We recognise that all parents want to ensure their baby gets the safest care possible, and would expect that we organise care to ensure that this happens. The Best Start aims to keep mums and babies together as much as possible. If there is a high risk of the baby needing intensive care after birth then antenatal care will be planned with the input of a specialist maternity team, and with the expectation that the woman will be admitted to a maternity unit in a hospital with a NICU on site when it is time to give birth.

If a woman is in suspected extreme pre-term labour, she will be transferred by ambulance to a maternity unit in a hospital with a NICU on site, to deliver the baby there. If there is not sufficient time to transfer the woman before birth, the baby will be born in her nearest hospital and given immediate short-term intensive care on site to stabilise the baby, before being transferred to a NICU by the specialist neonatal transport service ScotSTAR when it is safe to do so.

The same level of care will also be provided to the mother who, once stable enough, will also be transferred to the maternity unit within the same hospital as her baby.

Where cot capacity has been reached then clinical judgement with parental involvement will determine the best receiving unit.

Neonatal cot capacity is managed on a network basis through a daily call attended by all Neonatal Units. The data provided is then collated and is used to identify any sustained or acute pressure on intensive care cots.

The availability of beds is not solely down to the availability of neonatal cots, but also maternal beds and the availability of specialists to support both mother and baby. This ensures that for any woman or baby who requires immediate delivery, suitable arrangements are made. The perinatal teams across Scotland, including ScotSTAR who coordinate such transfers work hard to negotiate and create space when required.

The vast majority of mothers in extreme preterm labour will be transferred before giving birth, and the normal destination for Lanarkshire mothers will be Queen Elizabeth University Hospital in Glasgow.

In the small number of cases where it is not possible to transfer mothers before they give birth, as has been established practice for many years, our specialist neonatal transfer service (ScotSTAR) will transfer those babies in specialist ambulances equipped to care for neonates.

I can confirm that no Cabinet Secretary or Minister has accrued charges due to the personal usage of their government issued mobile phone or other electronic devices.

On appointment, ministers are offered electronic equipment to assist them in carrying out their official duties. I have included table which outlines the devices used by each of the ministers.

We are working to implement the commitments of our Neurological Care and Support – National Framework for Action 2020-25 , to improve the provision of co-ordinated health and social care and support, develop sustainable workforce models and ensure high standards of person-centred care.

Whilst the Framework is not condition specific, it covers issues affecting people with all types of neurological conditions, including dystonia.

Despite the disruption to health and social care services during the pandemic, we have sustained our efforts to deliver the commitments of the Framework, awarding £2.6 million since October 2020 to fund innovative projects working to improve outcomes for people living with neurological conditions. A midpoint progress report was published in July 2022.

The Scottish Government has been further working in partnership with NHS24 to update accessible public-facing information about dystonia , and other neurological conditions, for the NHS Inform website.

I refer the member to the answer to question S6W-23822 on 19 December 2023. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

The Scottish Government welcomes the UK National Screening Committee’s (UK NSC) recommendation that the four nations should move towards implementing a targeted lung screening programme for those aged 55-74 with a history of smoking. However, the roll-out of any screening programme is a complex undertaking, and the UK NSC acknowledged in its recommendation that there remain a number of significant issues that must be worked through before a full programme of lung screening can be implemented. Scotland is a member of the four nations group established to explore some of these issues, and has also established its own targeted lung cancer screening Scottish Expert Advisory Group (SEAG).

The SEAG’s remit is to provide the Scottish Government with advice on the scoping, implementation, establishment and delivery of a targeted lung cancer screening programme. The first stage of this work is underway and will support development of an evidence-based assessment of timescales for design and implementation.